According to reports, Russert had recently passed a cardiac
stress test and there was no concern from his doctors about his
heart. Therefore, there probably was nothing else he could have
done to prevent his heart attack. However, knowing that heart
disease is the leading cause of death in America, it would have
been in his best interest to exercise regularly and eat a healthy
diet.

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Russert could have had more extensive tests done, but since
there was no immediate cause for concern, the extra expense was not
worth it. He was not having any symptoms, so he went about his
business as usual.